JEFFREY R PENNINGS

NAMPA, ID
NPI1740715515
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  O-1212)
Enumeration Date2017-04-28
Last Update Date2020-06-08
Business Address
JEFFREY R PENNINGS DO
215 E HAWAII AVE
NAMPA, ID 83686-6011
Phone number: 208-514-2529
Mailing Address
JEFFREY R PENNINGS DO
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500